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10.1016/j.puhe.2020.07.011

http://scihub22266oqcxt.onion/10.1016/j.puhe.2020.07.011
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32731151!7351380!32731151
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suck abstract from ncbi


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pmid32731151      Public+Health 2020 ; 186 (ä): 1-5
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  • Diagnostic value of combined nucleic acid and antibody detection in suspected COVID-19 cases #MMPMID32731151
  • Zeng H; Deng S; Zhou Z; Qiu X; Jia X; Li Z; Wang J; Duan H; Tu L; Wang J
  • Public Health 2020[Sep]; 186 (ä): 1-5 PMID32731151show ga
  • OBJECTIVES: Nucleic acid testing is the gold standard method for the diagnosis of coronavirus disease 2019 (COVID-19); however, large numbers of false-negative results have been reported. In this study, nucleic acid detection and antibody detection (IgG and IgM) were combined to improve the testing accuracy of patients with suspected COVID-19. STUDY DESIGN: The positive rate of nucleic acid detection and antibody detection (IgG and IgM) were compared in suspected COVID-19 patients. METHODS: A total of 71 patients with suspected COVID-19 were selected to participate in this study, which included a retrospective analysis of clinical features, imaging examination, laboratory biochemical examination and nucleic acid detection and specific antibody (IgM and IgG) detection. RESULTS: The majority of participants with suspected COVID-19 presented with fever (67.61%) and cough (54.93%), and the imaging results showed multiple small patches and ground-glass opacity in both lungs, with less common infiltration and consolidation opacity (23.94%). Routine blood tests were mostly normal (69.01%), although only a few patients had lymphopenia (4.23%) or leucopenia (12.68%). There was no statistical difference in the double-positive rate between nucleic acid detection (46.48%) and specific antibody (IgG and IgM) detection (42.25%) (P = 0.612), both of which were also poorly consistent with each other (kappa = 0.231). The positive rate of combined nucleic acid detection and antibody detection (63.38%) was significantly increased, compared with that of nucleic acid detection (46.48%) and that of specific antibody (IgG and IgM) detection (42.25%), and the differences were statistically significant (P = 0.043 and P = 0.012, respectively). CONCLUSIONS: Nucleic acid detection and specific antibody (IgG and IgM) detection had similar positive rates, and their combination could improve the positive rate of COVID-19 detection, which is of great significance for diagnosis and epidemic control.
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Antibodies, Viral/isolation & purification[MESH]
  • |Betacoronavirus/genetics/immunology[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Clinical Laboratory Techniques/*methods[MESH]
  • |Coronavirus Infections/*diagnosis/epidemiology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Immunoglobulin G/isolation & purification[MESH]
  • |Immunoglobulin M/isolation & purification[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Nucleic Acids/isolation & purification[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*diagnosis/epidemiology[MESH]
  • |Reproducibility of Results[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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